Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Joseph Bereta death at Sydney, Cape Breton County on October 5, 1971

Male Death Registration: Year: 1971 number: 6209

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006209

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital

3. PRINT NAME OF DECEASED Bereta, Joseph

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Polish

7. Single, Married

married

8. BIRTHPLACE Poland

9. DATE OF BIRTH 2  15, 1893

10. AGE in  Years78  Months7  Days20 | hrs or mins

11. Trade or profession Steelworker

12. Kind of industry

13. Date last worked August 1957       14. Total years 49

15. If married name of spouse Stella

16. NAME of Father  

17. BIRTHPLACE Poland

18. NAME of Mother  

19. BIRTHPLACE Poland

20. Signature of Informant Edward Bereta

      address Sydney

      Relationship to deceased Son

21. Place of burial Resurrection Cemetery, Sydney Forks

      Date of burial 8 October 1971

22. Undertaker T.W. Curry's Funeral Home, Sydney

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 5, 1971

CAUSE OF DEATH

(a) Pulmonary Failure

(b) Carcinoma of Lung

(c) Emphysema

other Arteriosclerotic Heart Disease

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